Scientific Research Red Light Therapy
1) Skin Improvement / Anti-Aging
1. Shurrab K, et al. Low-level laser therapy for skin rejuvenation: systematic review and meta-analysis. J Cosmet Dermatol. 2024.
https://pubmed.ncbi.nlm.nih.gov/38817003/
- Population: Aggregated clinical trials on skin elasticity, wrinkles, melasma.
- Intervention: Various LLLT/LED protocols (red & NIR).
- Main finding: LLLT shows improvements in skin elasticity and wrinkle reduction; suggested as safe and useful adjunct.
- Type: Systematic review (2024).
- Strength/limitation: Recent meta-analysis; still limited by inconsistent dosing and outcome measures between trials.
2. Couturaud V, Le Fur M, Pelletier M, Granotier F. Reverse skin aging signs by red light photobiomodulation. 2023.
- Population: 20 healthy Caucasian women, mixed to oily skin, aged (not specified exactly) in facial-rejuvenation context.
- Intervention: LED mask (wavelength ~630 ±10 nm, power ~15.6 J/cm²) used 2 sessions/week for 3 months (12 min per session) on full facial area.
- Main Findings:
- ~16.7% decrease in facial sagging (oval of face)
- ~31.3% increase in dermal density
- ~28.1% decrease in pore diameter
- ~62.6% decrease in sebum amount
- Effects persisted 14–28 days after stopping use.
- Study type: Clinical interventional trial (single-arm, not clearly randomized vs control).
- Limitation: Small sample size (n=20); no placebo/sham control group; women only.
3. Mota LR, et al. Photobiomodulation reduces periocular wrinkle volume by 30%: a randomized controlled trial (2023)
https://pubmed.ncbi.nlm.nih.gov/36780572/
- Population: 137 women aged 40-65, skin phototypes II-IV, Glogau photoaging scale II-IV.
- Intervention: Ten sessions over 4 weeks of red (660 nm) and amber (590 nm) LED photobiomodulation (3.8 J/cm²) applied one side of face each wavelength (split-face).
- Main Findings:
- ~31.6% wrinkle reduction with red light
- ~29.9% wrinkle reduction with amber light
- Hydration & viscoelasticity did not significantly improve.
- Study Type: Randomized, split-face, controlled clinical trial.
- Limitations: Focus on periocular region only; other parameters unchanged; short follow up.
4. Jagdeo J, et al. Light-emitting diodes in dermatology: A systematic review. J Am Acad Dermatol. 2018.
https://pmc.ncbi.nlm.nih.gov/articles/PMC6099480/
- Population: Multiple clinical trials (photoaging, acne, wound healing).
- Intervention: Red (630–660 nm) and NIR (830–880 nm) across studies.
- Main finding: RCTs show:
- improved wrinkles
- increased elasticity
- collagen upregulation
- up to 26–36% wrinkle reduction in some trials
- Type: Systematic review.
- Limitation: Heterogeneity of dosimetry, wavelengths, devices.
5. Wunsch A & Matuschka K. A controlled trial to determine the efficacy of red and near-infrared light treatment… Photomed Laser Surg. 2014.
https://pmc.ncbi.nlm.nih.gov/articles/PMC3926176/
- Population: Adults receiving full-face/large-area PPE.
- Intervention: Polychromatic red/NIR LED sessions (multiple weeks).
- Main finding:
- Significant improvements in patient satisfaction
- Reduction in fine lines
- Increased intradermal collagen density
- Limitation: Device specific; standardized dosing needed.
6. Avci P, et al. Low-level laser (light) therapy (LLLT) in skin: stimulating, healing, restoring. Lasers Surg Med. 2013.
https://pmc.ncbi.nlm.nih.gov/articles/PMC4126803/
- Population: Review of preclinical and clinical data.
- Intervention: LLLT/PBM at red (600–700 nm) and NIR (760–1100 nm).
- Main finding: Mechanistic evidence showing:
- ↑ ATP production
- ↑ collagen synthesis
- ↑ fibroblast proliferation
- Type: Narrative/systematic review.
2) Faster Recovery, Muscle Repair, & Sports Performance
1. Luo WT, et al. Effects of Low-Level Laser Therapy on Muscular Performance and Recovery: Systematic Review & Meta-analysis. Front Physiol. 2021.
https://pmc.ncbi.nlm.nih.gov/articles/PMC9460079/
- Population: 24 clinical trials (athletes/active adults).
- Intervention: LLLT/PBM applied pre- or post-exercise (various wavelengths 630–904 nm).
- Main finding: Pre-exercise PBM improved short-term muscle strength and reduced markers of muscle damage (CK), soreness.
- Type: Meta-analysis.
- Strength/limitation: Good number of trials; variability in dose & timing is a limitation.
2. Tomazoni SS, et al. Infrared Low-Level Laser Therapy (PBM) applied before running test. Lasers Med Sci. 2019.
https://pmc.ncbi.nlm.nih.gov/articles/PMC6885272/
- Population: Healthy active adults.
- Intervention: IR LLLT applied before progressive running test (808–830 nm parameters).
- Main finding: Improved performance metrics and reduced fatigue indicators versus placebo.
- Type: Randomized clinical trial.
- Strength/limitation: Well-controlled RCT; single-session effects — longer-term training studies needed.
3. Rossato M, et al. Dose-response effect of photobiomodulation on exercise performance. Lasers Surg Med. 2020.
https://pubmed.ncbi.nlm.nih.gov/33232629/
- Population: 18 physically active men (crossover).
- Intervention: Multiple PBM doses (knee extension protocol) at 808 nm.
- Main finding: Identified effective energy windows that improved repetitions and delayed fatigue; showed clear dose response.
- Type: Randomized crossover study.
- Strength/limitation: Small but well-controlled; informs dosing strategies.
4. Lanferdini FJ, et al. Effects of Photobiomodulation Therapy on Performance in Sports: Randomized Trials & Mechanisms. Sports Med. 2023.
https://pmc.ncbi.nlm.nih.gov/articles/PMC10594465/
- Population: Athletes/active adults.
- Intervention: PPE pre- or post-exercise, LED/laser devices; wavelengths mostly 660–850 nm.
- Main finding: PBM enhances muscle oxygen kinetics, reduces muscle damage, and speeds recovery when dosed appropriately.
- Type: Systematic review/trial synthesis.
- Strength/limitation: Comprehensive; emphasizes the need for standardized dosing.
5. Ailioaie LM & Ailioaie C. Photobiomodulation and sports: a narrative review with an RCT example. 2021.
https://pmc.ncbi.nlm.nih.gov/articles/PMC8706093/
- Population: Healthy males in RCT components; broader review included athletes.
- Intervention: Cluster PBM device pre-exercise on biceps.
- Main finding: Acute PBM reduced fatigue and improved time-to-failure in upper-limb testing.
- Type: RCT + narrative review.
- Strength/limitation: Single muscle group RCT — more whole-body athlete trials needed.
6. De Oliveira et al. Photobiomodulation preconditioning improves muscular performance: systematic review (2018).
https://pubmed.ncbi.nlm.nih.gov/29090398/
- Population: Randomized trials (healthy subjects/athletes).
- Intervention: PBM applied pre-exercise.
- Main finding: PBM prior to exercise consistently reduced muscle fatigue and improved certain performance outcomes.
- Type: Systematic review & meta-analysis.
- Strength/limitation: Supports preconditioning use; heterogeneity remains.
3) More Energy / Reduced Fatigue
1. Liebert A, et al. A potential role for photobiomodulation therapy in chronic fatigue & long-COVID symptoms. 2020.
https://pmc.ncbi.nlm.nih.gov/articles/PMC7673843/
- Population: Preclinical and clinical fatigue syndromes reviewed.
- Intervention: PBM (ed/NIR) applications systemically or transcranially.
- Main finding: PBM may increase cellular ATP and reduce subjective fatigue across small clinical series.
- Type: Narrative review.
- Strength/limitation: Mechanistic plausibility strong; clinical trial evidence still limited.
2. Xiao P, et al. Effect of light therapy on cancer-related fatigue: systematic review & meta-analysis. 2022.
https://pubmed.ncbi.nlm.nih.gov/34563631/
- Population: Cancer patients with fatigue (RCTs).
- Intervention: Bright-light and some phototherapy (not all red/NIR).
- Main finding: Light therapy reduces cancer-related fatigue; many studies use bright visible light.
- Type: Meta-analysis.
- Strength/limitation: Relevant for “light & fatigue,” less direct PPE focus.
3. Laakso EL, et al. A holistic perspective on how photobiomodulation may treat fatigue. Front Neurol. 2023.
https://pmc.ncbi.nlm.nih.gov/articles/PMC10216148/
- Population: Mechanistic & clinical evidence across fatigue disorders.
- Intervention: tPBM and peripheral PBM.
- Main finding: PBM modulates neuroimmune axes, mitochondrial function, and gut–brain pathways relevant to fatigue.
- Type: Review.
- Strength/limitation: Mechanistic depth; clinical RCTs emerging.
4. Rossato M et al. Dose-response effect of PPE on fatigue during repeated knee extensions (2020)
https://pubmed.ncbi.nlm.nih.gov/33232629/
- Population: Healthy adult males.
- Intervention: PBM at different energy doses applied to quadriceps pre-exercise.
- Main Findings:
- Reduced muscle fatigue
- Improved peak torque
- Delayed fatigue onset
- Study Type: Randomized, double-blind, placebo-controlled crossover trial.
- Limitations: Small sample size; short-term outcomes; healthy participants only.
5. de Oliveira Aleixo-Junior I, et al. Triple-blinded randomized placebo-controlled pilot: PBMT-sMF decreases fatigue index. 2021.
https://pmc.ncbi.nlm.nih.gov/articles/PMC8606121/
- Population: Healthy volunteers in resistance exercise.
- Intervention: PPE + static magnetic field vs sham.
- Main finding: Decreased fatigue index; lower perceived exertion.
- Type: Triple-blinded randomized controlled pilot.
- Strength/limitation: Pilot size; but high quality blinding.
6. Lawrence J, et al. Low-Level Laser Therapy for acute tissue injury and exercise recovery. 2024 review.
https://pmc.ncbi.nlm.nih.gov/articles/PMC11503318/
- Population: Clinical and sports studies pooled.
- Intervention: LLLT before/after exercise (red/NIR).
- Main finding: Evidence supports reduced perceived fatigue and faster recovery when PBM is applied correctly.
- Type: Systematic review (2024).
- Strength/limitation: Up to date; dosing heterogeneity remains.
4) Pain Relief (Muscle & Joint Pain)
1. González-Muñoz A, et al. Efficacy of photobiomodulation therapy in the treatment of pain and inflammation: Systematic review (2023)
https://pmc.ncbi.nlm.nih.gov/articles/PMC10094541/
- Population: Acute/chronic musculoskeletal pain trials.
- Intervention: PPE (red/NIR) across trials, local application.
- Main finding: PBM demonstrates beneficial effects for pain relief and reduced inflammation in multiple RCTs and clinical studies.
- Type: Systematic review.
- Strength/limitation: RCT evidence present but varying quality and dosage.
2. Hamblin MR. Mechanisms and applications of the anti-inflammatory effects of photobiomodulation. AIP Adv. 2017.
https://pmc.ncbi.nlm.nih.gov/articles/PMC5523874/
- Population: Preclinical and clinical data.
- Intervention: PBM at red/NIR wavelengths.
- Main finding: Mechanistic evidence:
- ↓ pro-inflammatory cytokines
- ↑ M2 macrophage markers
- ↓ oxidative stress
- Type: Mechanistic review.
- Strength/limitation: Strong mechanistic grounding; standardized clinical protocols still developing.
3. Tomazoni SS, et al. IR LLLT before exercise reduces post-exercise soreness and markers. Lasers Med Sci. 2019.
https://pmc.ncbi.nlm.nih.gov/articles/PMC6885272/
- Population: Healthy male volunteers performing high-intensity exercise.
- Intervention: Infrared low-level laser therapy (LLLT) applied to muscles before exercise.
- Main Findings:
- Significantly reduced post-exercise muscle soreness
- Reduced biochemical markers of muscle damage (CK levels, oxidative stress)
- Study Type: Randomized, placebo-controlled clinical trial.
- Limitations: Short-term follow-up; limited to acute effects; small sample size; only healthy athletic males.
4. Tsou YA, et al. Effects of photobiomodulation therapy (PBMT) for delayed-onset muscle soreness: systematic review & meta-analysis (2025)
https://pmc.ncbi.nlm.nih.gov/articles/PMC12286287/
- Population: Trials of DOMS in healthy adults.
- Intervention: PPE before/after exercise.
4) Pain Relief (Muscle & Joint Pain)
1. González-Muñoz A, et al. Efficacy of photobiomodulation therapy in the treatment of pain and inflammation: Systematic review (2023)
https://pmc.ncbi.nlm.nih.gov/articles/PMC10094541/
- Population: Acute/chronic musculoskeletal pain trials.
- Intervention: PPE (red/NIR) across trials, local application.
- Main finding: PBM demonstrates beneficial effects for pain relief and reduced inflammation in multiple RCTs and clinical studies.
- Type: Systematic review.
- Strength/limitation: RCT evidence present but varying quality and dosage.
2. Hamblin MR. Mechanisms and applications of the anti-inflammatory effects of photobiomodulation. AIP Adv. 2017.
https://pmc.ncbi.nlm.nih.gov/articles/PMC5523874/
- Population: Preclinical and clinical data.
- Intervention: PBM at red/NIR wavelengths.
- Main finding: Mechanistic evidence:
- ↓ pro-inflammatory cytokines
- ↑ M2 macrophage markers
- ↓ oxidative stress
- Type: Mechanistic review.
- Strength/limitation: Strong mechanistic grounding; standardized clinical protocols still developing.
3. Tomazoni SS, et al. IR LLLT before exercise reduces post-exercise soreness and markers. Lasers Med Sci. 2019.
https://pmc.ncbi.nlm.nih.gov/articles/PMC6885272/
- Population: Healthy male volunteers performing high-intensity exercise.
- Intervention: Infrared low-level laser therapy (LLLT) applied to muscles before exercise.
- Main Findings:
- Significantly reduced post-exercise muscle soreness
- Reduced biochemical markers of muscle damage (CK levels, oxidative stress)
- Study Type: Randomized, placebo-controlled clinical trial.
- Limitations: Short-term follow-up; limited to acute effects; small sample size; only healthy athletic males.
4. Tsou YA, et al. Effects of photobiomodulation therapy (PBMT) for delayed-onset muscle soreness: systematic review & meta-analysis (2025)
https://pmc.ncbi.nlm.nih.gov/articles/PMC12286287/
- Population: Trials of DOMS in healthy adults.
- Intervention: PPE before/after exercise.
- Main finding: PBM reduced DOMS intensity at specific post-exercise time points.
- Type: Systematic review & meta-analysis.
- Strength/limitation: Good trial numbers; outcome timing matters.
5. Zecha FJ, et al. LLLT/PBM in oral mucositis & tissue injury (2016 review)
https://pmc.ncbi.nlm.nih.gov/articles/PMC4846477/
- Population: Cancer patients/medical treatment side effects.
- Intervention: LLLT to oral tissues.
- Main finding: Strong RCT evidence:
- reducing pain
- improving healing
- Type: Systematic review with clinical guideline implications.
- Strength/limitation: High-quality clinical evidence in a medical context.
6. González-Muñoz A, et al. PBM as adjunctive therapy for chronic musculoskeletal pain (2023)
https://www.mdpi.com/2076-3417/15/8/4161
- Population: Chronic knee OA, tendinopathy, low back pain.
- Intervention: PPE (local red/NIR) added to physiotherapy/standard care.
- Main finding: PBM often provided additional pain relief and functional improvements compared with standard care alone.
- Type: Systematic review & trial summaries.
- Strength/limitation: Encouraging; larger multicenter RCTs needed.
5) Neurological Benefits (Focus, Memory, Cognition)
1. Naeser MA, et al. Improved cognitive function after transcranial LED treatments in chronic TBI. Photomed Laser Surg. 2011 / 2016.
https://pmc.ncbi.nlm.nih.gov/articles/PMC3104287
- Population: Chronic TBI + cognitive deficits.
- Intervention: Transcranial red/NIR LED (633–870 nm), multiple sessions.
- Main finding:
- Improved attention
- Improved memory
- Improved executive function
- Type: Pilot clinical reports.
- Strength/limitation: Preliminary but consistent signals; controlled trials needed.
2. Qu X, et al. Repeated transcranial photobiomodulation improves working memory in older adults. 2022.
https://pmc.ncbi.nlm.nih.gov/articles/PMC9514540/
- Population: Healthy older adults.
- Intervention: Repeated NIR tPBM sessions (7 days).
- Main finding: Working memory improved post-treatment, lasting several weeks.
- Type: Randomized controlled human study.
- Strength/limitation: Promising sustained effects; modest sample sizes.
3. de Oliveira BH, et al. tPBM increases cognitive function & BDNF in adults with MCI (2024)
https://pubmed.ncbi.nlm.nih.gov/39423445/
- Population: Adults with mild cognitive impairment.
- Intervention: tPBM vs sham.
- Main finding: Increased cognitive function metrics and circulating BDNF.
- Type: RCT.
- Strength/limitation: Strong design; needs long-term follow-up.
4. Urquhart EL, et al. Transcranial PBM-induced changes in EEG and cognition (2020)
https://pmc.ncbi.nlm.nih.gov/articles/PMC7587286/
- Population: Healthy adults.
- Intervention: Single-session NIR tPBM.
- Main finding:
- EEG spectral power changes (delta & theta ↑)
- Short-term cognitive improvements
- Type: Controlled experimental study.
- Strength/limitation: Strong neurophysiology; small cohorts.
5. Pan W, et al. Advances in photobiomodulation for cognitive impairment (2023 review)
https://pmc.ncbi.nlm.nih.gov/articles/PMC9945713/
- Population: Preclinical models & human trials (dementia, TBI, stroke).
- Intervention: tPBM/red-NIR.
- Main finding: Neuromodulatory effects, improved perfusion, mitochondrial support, cognitive gains.
- Type: Review.
- Strength/limitation: Comprehensive; clinical heterogeneity.
6. Nizamutdinov D, et al. Transcranial Near-Infrared (tNIR) light in dementia: safety & cognitive effects. 2021.
https://pmc.ncbi.nlm.nih.gov/articles/PMC8219492/
- Population: Dementia patients.
- Intervention: Home-based repeated tNIR sessions.
- Main finding:
- Safety demonstrated
- Some cognitive improvements
- Better sleep/mood reported
- Type: Case series/trial protocol.
- Strength/limitation: Encouraging real-world use; needs controlled RCTs.
6) Hormonal Balance
1. Hamblin MR. Mechanisms of PBM — mitochondrial & NO release affecting endocrine cells (2017)
https://pmc.ncbi.nlm.nih.gov/articles/PMC5523874/
- Population: Mechanistic + some human data.
- Intervention: Red/NIR PBM.
- Main finding: PBM increases ATP & nitric oxide — mechanisms that modulate endocrine cell activity and stress response.
- Type: Mechanistic review.
- Strength/limitation: Mechanistic but not hormone-focused clinical RCTs.
2. Yosefov-Abramson et al. / Hernández-Bule 2024 review — PBM effects on reproductive tissues
https://pmc.ncbi.nlm.nih.gov/articles/PMC11049838/
- Population: Animal models + limited human pilot data.
- Intervention: Local NIR/reduce PPE to reproductive tissues.
- Main finding: Increased follicular viability, mitochondrial function, and perfusion in animal models.
- Type: Preclinical + pilot human summary.
- Strength/limitation: Mostly preclinical; few human endocrine RCTs.
3. Liebert A et al. PBM and systemic neuroimmune/endocrine modulation (2020)
https://pmc.ncbi.nlm.nih.gov/articles/PMC7673843/
- Population: Mixed conditions & mechanistic evidence.
- Intervention: Systemic PBM (whole-body or transcranial).
- Main finding: PBM can modulate inflammatory cytokines and stress responses involving the HPA axis.
- Type: Narrative review.
4. Clinical pilot studies — thyroiditis, thyroid nodules, reproductive medicine (Hernández-Bule 2024)
https://pmc.ncbi.nlm.nih.gov/articles/PMC11049838/
- Population: Small cohorts with autoimmune thyroid issues or fertility problems.
- Intervention: Targeted NIR/red PPE to thyroid or pelvic region.
- Main finding: Improved perfusion and some symptom relief; variable hormone changes.
- Type: Pilot clinical reports.
- Strength/limitation: Small sample sizes; inconsistent hormone results.
5. Laakso EL (2023) — PBM effects on gut–brain–endocrine axes
https://pmc.ncbi.nlm.nih.gov/articles/PMC10216148/
- Population: Mechanistic & small human studies.
- Intervention: tPBM + peripheral PBM.
- Main finding: PBM may modulate metabolic/hormonal signaling via mitochondria & immune pathways.
- Type: Review.
6. Hernández-Bule et al. (2024) — PBM & endocrine function review
https://pmc.ncbi.nlm.nih.gov/articles/PMC11049838/
- Population: Human clinical trials, small RCTs, animal models, mechanistic studies.
- Intervention: PBM applied to endocrine-related areas (thyroid, testes, brain)
- Main Findings:
- PBM may influence cortisol, testosterone, thyroid hormones, melatonin
- Mechanistic links via mitochondrial activation & neuroendocrine signaling
- Type: Systematic review.
- Limitations: Few large RCTs; secondary endocrine endpoints; protocol variability.
7) Better Sleep
1. Saltmarche A, et al. Significant improvements in cognition & sleep reported in dementia patients after PBM (2017)
https://pubmed.ncbi.nlm.nih.gov/28186867/
- Population: Mild–moderate dementia subjects.
- Intervention: Repeated PBM (transcranial/near-infrared).
- Main finding: Improved sleep patterns and reduced nighttime agitation, alongside cognitive improvements.
- Type: Case series.
- Strength/limitation: Not controlled but consistent caregiver-reported benefits.
2. Nizamutdinov D, et al. tNIR in dementia: improved sleep & mood (2021)
https://pmc.ncbi.nlm.nih.gov/articles/PMC8219492/
- Population: Dementia patients.
- Intervention: Repeated tNIR therapy at home.
- Main finding: Improved sleep quality within ~7 days reported by caregivers.
- Type: Case series / controlled protocol.
- Strength/limitation: Real-world consistency; not blinded RCT.
3. Gaggi NL, et al. Enhancing sleep, wakefulness, and cognition with photobiomodulation (2025 review)
https://pmc.ncbi.nlm.nih.gov/articles/PMC12350269/
- Population: Healthy volunteers & clinical cohorts.
- Intervention: tPBM, intranasal PBM, bright-light therapy.
- Main finding: PBM may improve daytime alertness and support nighttime sleep via circadian & mitochondrial pathways.
- Type: Review (2025).
- Strength/limitation: Mixed modalities; emerging field.
4. Urquhart EL, et al. tPBM changes EEG & cognition; sleep-related EEG changes noted (2020)
https://pmc.ncbi.nlm.nih.gov/articles/PMC7587286/
- Population: 20 healthy adults.
- Intervention: Single-session 830 nm tPBM.
- Main Findings:
- Delta & theta EEG increases (linked to relaxation & sleep pressure)
- Cognitive improvements
- Authors note EEG resembles early sleep-cycle patterns
- Type: Experimental crossover study.
- Strength/limitation: Strong neurophysiology; sleep was secondary outcome.
5. Bragato EF et al. (2023) — LED Mask RCT protocol including sleep as outcome
https://pmc.ncbi.nlm.nih.gov/articles/PMC9902007/
- Population: 60 adult women aged 35–60.
- Intervention: 633 & 830 nm LED mask, 20-min sessions, 3× per week, 8 weeks.
- Main finding: Protocol only; sleep assessed via PSQI.
- Type: Randomized, double-blind, placebo-controlled trial protocol.
- Strength/limitation: Strong design; no results published yet.
6. Hamblin MR (2017) & Laakso EL (2023) — PBM and melatonin/circadian mechanisms
https://pmc.ncbi.nlm.nih.gov/articles/PMC5523874/
- Population: Animal studies, cellular models, indirect human evidence.
- Intervention: Red (630–660 nm) & near-infrared (800–850 nm).
- Main findings:
- ↑ cytochrome c oxidase activity
- ↑ ATP and nitric oxide
- Potential influence on melatonin synthesis
- Circadian rhythm normalization in animals
- Type: Mechanistic review.
- Strength/limitation: Strong biology; limited sleep-focused human RCTs.
8) Hair Growth
1. Torres AE, et al. Photobiomodulation for the management of hair loss (2021)
https://pubmed.ncbi.nlm.nih.gov/33377535/
- Population: Review covering multiple RCTs in alopecia.
- Intervention: Red (630–660 nm) and NIR LED helmets/caps; 2–3×/week, 12–26 weeks.
- Main findings: Several RCTs show increased hair count & density.
- Type: Narrative review + summary of RCTs.
- Strength/limitation: Solid survey; heterogeneous protocols.
2. Hamblin MR. Photobiomodulation for alopecia (2019 review)
https://pmc.ncbi.nlm.nih.gov/articles/PMC6737896/
- Population: Preclinical + clinical data.
- Intervention: 630–830 nm PPE across devices.
- Main finding:
- Mitochondrial stimulation of follicles
- Efficacy in AGA, alopecia areata, chemo-induced hair loss
- Type: Review.
- Strength/limitation: Mechanistic depth; earlier than newest RCTs.
3. Lodewijckx J, et al. HAIRLASER trial — PBM to accelerate hair regrowth after chemotherapy (2023)
https://pubmed.ncbi.nlm.nih.gov/37060420/
- Population: Breast-cancer chemotherapy patients.
- Intervention: Helmet/targeted red/NIR PPE (per protocol).
- Main finding:
- Accelerated hair regrowth
- Improved QoL and body image
- Type: Randomized controlled trial.
- Strength/limitation: Valuable RCT in niche population; moderate sample size.
4. Wang YF, et al. Clinical trial comparing three wavelengths for hair growth (2024)
https://pubmed.ncbi.nlm.nih.gov/40398915/
- Population: 68 adults (18–60 years) with hair loss.
- Intervention: PBM at:
- 650 nm
- 1550 nm
- 14,000 nm
- Main findings:
- PBM groups showed ↑ hair density
- Control group showed decline
- Reduced scalp oiliness
- Type: Controlled clinical trial.
- Strength/limitation: Head-to-head wavelengths; moderate sample.
5. Charoensuksira S, et al. Light-guiding microneedle patch + LED helmet (2024)
https://pubmed.ncbi.nlm.nih.gov/39325239/
- Population: 16 AGA patients.
- Intervention: Microneedle patch + LED helmet (522 nm + 633 nm), 50 mW/cm², 40 J/cm², weekly × 24 weeks.
- Main finding: Improved hair measurements in treated area vs control.
- Type: Small randomized clinical trial (split area).
- Strength/limitation: Very small N; innovative method.
6. Yang K, et al. Hair growth promoting effects of 650 nm red light (ex vivo)
https://pmc.ncbi.nlm.nih.gov/articles/PMC8577899/
- Population: Ex-vivo human hair follicle culture.
- Intervention: 650 nm red light exposure.
- Main findings:
- Stimulation of follicle activity
- Mitochondrial + growth factor signaling upregulation
- Type: Mechanistic ex-vivo study.
- Strength/limitation: Preclinical; supports clinical findings.
9) Improved Metabolism
1. Scontri CMCB, et al. Dose-response PBM reduces glycemia in T2DM (2023)
https://pubmed.ncbi.nlm.nih.gov/37171054/
- Population: T2DM patients in randomized crossover double-blind sham-controlled design.
- Intervention: PPE (red/NIR) with time- and dose-response protocols.
- Main findings:
- Reductions in blood glucose
- HRV improvements (autonomic balance)
- Type: Randomized crossover RCT.
- Strength/limitation: Promising — needs larger trials.
2. Elnaggar RK, et al. PBMT vs RF vs control in adolescents with obesity (2020)
https://pubmed.ncbi.nlm.nih.gov/32141112/
- Population: Adolescents with obesity.
- Intervention: 635 nm PBMT to abdominal fat vs RF & control.
- Main findings:
- Reduced waist/hip ratio
- Reduced subcutaneous abdominal fat thickness
- Type: RCT.
- Strength/limitation: Anthropometric endpoints only; short-term.
3. Roche GC, et al. LLLT for reducing hip/waist/abdomen circumference (2017)
https://pubmed.ncbi.nlm.nih.gov/27935737/
- Population: BMI 30–40 adults.
- Intervention: 635–680 nm LLLT (multiple sessions).
- Main findings:
- Significant reductions in waist circumference
- Significant hip/abdomen reductions
- Type: Controlled clinical trial.
- Strength/limitation: Local fat/circumference reduction validated; metabolic biomarkers not primary endpoints.
4. Magalhães FC, et al. PBM in insulin resistance & metabolic outcomes (2022 review)
https://pubmed.ncbi.nlm.nih.gov/36040371/
- Population: In vitro, animal, human studies.
- Intervention: PPE with variable parameters.
- Main findings:
- Mitochondrial improvements
- Reduced inflammation
- Improved adipocyte & muscle metabolic signaling
- Type: Narrative/systematic review.
- Strength/limitation: Encouraging; more RCTs needed.
5. Modena DAO, et al. LED PPE on adipose tissue — split-abdomen trial (2023)
https://pubmed.ncbi.nlm.nih.gov/37851070/
- Population: Obese women.
- Intervention: Red + infrared LED PBMT to abdominal regions.
- Main findings:
- Mitochondrial stimulation in adipose cells
- Localized reduction in adipose measures
- Type: Non-randomized split-area trial.
- Strength/limitation: Mechanistic biomarkers measured; not randomized.
6. Liu S, et al. tPBM improves metabolic parameters in diabetic mice (Nature Communications, 2023)
https://www.nature.com/articles/s42003-023-05630-3
- Population: Diabetic mice.
- Intervention: Transcranial PPE.
- Main findings:
- Improved insulin therapy effects
- Altered microglial activity
- Increased energy expenditure & locomotion
- Type: Preclinical animal model.
- Strength/limitation: Strong mechanistic evidence; translation to humans needed.
10) Mood Enhancement / Reduced Anxiety or Depression
1. Cassano P., et al. Transcranial photobiomodulation for major depressive disorder — pilot RCT (2018)
https://pmc.ncbi.nlm.nih.gov/articles/PMC7864111/
- Population: Adults with MDD.
- Intervention: Near-infrared tPBM targeted to prefrontal cortex.
- Main findings:
- Antidepressant effects observed
- Improved mood scores vs baseline
- Good tolerability & feasibility
- Study type: Randomized, double-blind, sham-controlled pilot.
- Strength/limitation: Strong design but small sample size.
2. Ji Q., et al. Photobiomodulation improves depression symptoms — meta-analysis (2024)
https://pubmed.ncbi.nlm.nih.gov/38356614/
- Population: RCTs & controlled studies in depression.
- Intervention: Transcranial PBM and peripheral PBM.
- Main findings:
- PBM significantly reduces depressive symptoms vs placebo
- However, number of high-quality RCTs is still small
- Study type: Systematic review & meta-analysis.
- Strength/limitation: Statistically pooled benefit; heterogeneity remains.
3. Cho Y., et al. Meta-analysis: Efficacy of tPBM for depressive symptoms (2023)
https://pubmed.ncbi.nlm.nih.gov/37651208/
- Population: Randomized & sham-controlled trials.
- Intervention: tPBM protocols (varied across studies).
- Main findings: Suggestive support for tPBM, but many trials underpowered.
- Study type: Meta-analysis.
- Strength/limitation: Rigorous analysis but limited by small sample RCTs.
4. Iosifescu DV, et al. ELATED-3 multicenter randomized sham-controlled trial (2022)
https://pubmed.ncbi.nlm.nih.gov/35950904/
- Population: MDD patients across multiple centers.
- Intervention: tPBM with defined irradiance & energy thresholds.
- Main findings:
- Minimum dose threshold required for effect
- Low-dose tPBM shows little/no effect
- Study type: Multicenter RCT.
- Strength/limitation: Emphasizes importance of correct dosing.
5. Guu TW, et al. Wearable tPBM for MDD — randomized double-blind sham-controlled trial (2025)
https://pubmed.ncbi.nlm.nih.gov/39706483/
- Population: Patients with MDD.
- Intervention: Self-administered wearable tPBM.
- Main findings:
- Feasible & well tolerated
- Low dosimetry insufficient for antidepressant effect
- Improved sleep quality noted
- Study type: Randomized, double-blind, sham-controlled (2025).
- Strength/limitation: Realistic dosing insights; low dose = limited effect.
6. Coelho DRA, et al. Dose-finding RCT of tPBM — neurometabolite changes & clinical correlations (2025)
https://pubmed.ncbi.nlm.nih.gov/40429396/
- Population: Adults with MDD.
- Intervention: Varied tPBM doses.
- Main findings:
- Dose-dependent neurometabolite changes (NAA, Cho, Cr)
- Correlations with clinical improvement
- Study type: Randomized, double-blind dose-comparison trial.
- Strength/limitation: Strong mechanistic RCT; early stage data.
11) Reduction Of Inflammation (Arthritis & Autoimmune Disorders)
1. Zhang R., et al. Mechanisms & efficacy of PBM in inflammatory disease (2023)
https://pmc.ncbi.nlm.nih.gov/articles/PMC10531845/
- Population: Human & animal inflammatory disease studies.
- Intervention: Red/NIR PPE protocols.
- Main findings:
- ↓ inflammatory markers
- Improved tissue repair
- Positive results in joint disease & autoimmune models
- Type: Systematic review (2023).
- Strength/limitation: Very thorough; protocol variability remains.
2. Hamblin MR. Anti-inflammatory effects of PBM — mechanistic review (2017)
https://pmc.ncbi.nlm.nih.gov/articles/PMC5523874/
- Population: Cell, animal, & human studies.
- Intervention: Red/NIR wavelengths.
- Main findings:
- ↓ oxidative stress
- ↓ inflammatory cytokines
- ↑ NO release
- Mitochondrial modulation
- Type: Comprehensive mechanistic review.
- Strength/limitation: Foundational; clinical protocols still vary.
3. Oliveira S., et al. PBM for knee osteoarthritis — systematic review (2024)
https://pubmed.ncbi.nlm.nih.gov/38775202/
- Population: RCTs in knee OA.
- Intervention: Laser/LED PBM.
- Main findings:
- Pain reduction
- Possible disability improvement
- Type: Systematic review & meta-analysis (2024).
- Strength/limitation: Pooled data but low certainty due to heterogeneity.
4. González-Muñoz A., et al. PBM for chronic pain & inflammation — systematic review (2023)
https://pmc.ncbi.nlm.nih.gov/articles/PMC10094541/
- Population: Chronic pain & inflammatory conditions.
- Intervention: LED/laser PBM.
- Main findings: PBM provides beneficial effects — though standardized RCTs needed.
- Type: Systematic review.
- Strength/limitation: Comprehensive; emphasizes protocol variability.
5. Stausholm MB., et al. Efficacy of LLLT in knee osteoarthritis — BMJ Open (2019)
https://pmc.ncbi.nlm.nih.gov/articles/PMC12326686/
- Population: Placebo-controlled LLLT trials in knee OA.
- Intervention: Various LLLT dosages.
- Main findings:
- Significant pain reduction
- Improved function
- Type: Systematic review & meta-analysis (2019).
- Strength/limitation: Rigorous but highly variable protocols.
6. Lourinho I., et al. LLLT in adults with rheumatoid arthritis — systematic review & meta-analysis (2023)
https://pmc.ncbi.nlm.nih.gov/articles/PMC12326686/
- Population: Adults with rheumatoid arthritis.
- Intervention: LLLT/PBM protocols across RA trials.
- Main findings:
- Favorable effects on inflammatory markers
- Pain reduction
- Some functional improvements
- Type: Systematic review & meta-analysis (2023).
- Strength/limitation: Promising but small trials + methodological variability.